1. Changing Data into Useful Information Shannon Calhoun, Principal NewLight Rural Health Network Lee Hughes, CEO Memorial Hospital of Texas County Jamie Jacoby, CFO Memorial Hospital of Texas County

2. Are you drowning in data? 1.Do you/your facility report data? 2.Do you/your facility report data that doesn’t seem relevant to your facility? 3.Do you report to another entity that doesn’t report back to you? Or provide you with input on the metrics relevant to your facility? What makes data valuable, usable information?

3. “The tectonic shift triggered by the PPACA will have major implications for rural providers. To prepare for increased provider-to-provider integration and coordination based on quality and cost, rural hospitals need to be able to demonstrate value”. - white paper: Rural Relevance under Healthcare Reform by IVantage Health Analytics Healthcare is changing and Healthcare reform is setting the pace. The changes in healthcare today are based on evidence of value.

4. Per-capita Inpatient Hospital Service payments for rural beneficiaries are 2% less costly that payments for urban beneficiaries How can we paint a picture of rural health? And why should we want to? Did you know that recent studies of Medicare Beneficiaries Payment show: Per-capita Physician Service payments for rural beneficiaries are 18% less costly than payments for urban beneficiaries Per-capita Outpatient Service payments for rural beneficiaries are 14% more costly than payments for urban beneficiaries

5. Neither the rural nor urban cohort dominates performance across the CMS Process of Care topic areas (PN, HF, AMI, SCIP and OP). How can we paint a picture of rural health? And why should we want to? Did you know that recent studies of Hospital Performance show that: There is no significant performance variation on 30 day readmission rates at the benchmark level. Rural hospital performance on HCAHPS patient experience survey measures is better that urban hospitals. For three of the four price and cost efficiency measures based on Medicare Cost Reports, rural hospital performance is better than urban hospitals.

6. How can you apply these summaries to action? Now that you know “rural healthcare is relevant”… what next? How do you know how your facility relates to this information? Where should you start?

7. Benchmarking for your Facility New ideas to take your data to the next level

8. Case Study Cimarron Memorial Hospital

9. Case Study Cimarron Memorial Hospital

10. Case Study Cimarron Memorial Hospital

11. Case Study Cimarron Memorial Hospital

12. Case Study Cimarron Memorial Hospital

13. Case Study Cimarron Memorial Hospital

14. Case Study Cimarron Memorial Hospital

15. Case Study Cimarron Memorial Hospital

16. Case Study Cimarron Memorial Hospital

17. Case Study Cimarron Memorial Hospital

18. Case Study Cimarron Memorial Hospital

19. Case Study Cimarron Memorial Hospital

20. Patient Satisfaction Case Study

21. Questions? Thank you! Shannon Calhoun, Principal scalhoun@newlightrhn.com NewLight Rural Health Network Lee Hughes, CEO ceo@mhtcg.org Memorial Hospital of Texas County Jamie Jacoby, CFO jrjacoby@suddenlink.net Memorial Hospital of Texas County